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DE
RE GSI
  PO N
     RT

     Yu-Hsin Wang
     Ning Hsu
Design for	 Real People
		Real Society
		Real World
PREFACE




Design for Reality?
Design Thinking Process
What            Design for Real People ─




 ?
                design based on the special need of each person 

                Design for Real Society ─
                design for a group of people who face similar difficulties

                Design for Real World ─
                design for a specific situation that the whole world is involved




                Direction
                ▲ unnoticed needs
                ▲ research that focus on specific group


     is
                Since recent Designs are based on the market requirement, human’s real needs have
                been ignored. However, designer’s social responsibility is to provide solutions when
“Design for     people face difficulties and to make improvement in unwholesome situation. Instead of
Real People,    emphasizing the shape or adding worthless functions, a real helpful design product should
                truly care about disadvantaged minority and be useful to real people.
Real Society,
Real World ”                                                          Make a Better World.
Design Thinking Process
To Figure out Our Topic




Design for Real People                                                     Observation 1 Interview 1                                  Observation 2                  Interview 2 on Telephone             Observation 3
               Society                                                     Hospital      Farmers and Agriculturist                    Hospital and Sickrooms         Taiwan Root Medical Peace Corps      Volunteer Clinic in Miaoli
                 World                                                                                                                                               (TRMPC)                              (with TRMPC)




     31, July                    07, August                   14, August                    21, August               04, September               11, September                      18, September                      25, September



       Disable People/The Elders
                     /The Blinds
               /Physical Disables


       Hospital and Medical Care
                      /for Patient
                    /for Relatives   Spirital Pain Soothing                                    Hospice Care             Exercise Equipments in      Exercise Equipments in
                                                                                                                        Sunshine Room                       Sunshine Room
                                     Equipment Improvement Redesigning of Folding Beds                                                                   /for both Patient and Relatives
                                                                                                                                                         /Increase the Use of the Space
                                                                  Redesigning of
                                                                  Basic Medical Equipments                              Dressing Cart Redesign      Dressing Cart Redesign


                                                                                                                                                    Medical Aid Set for Remote AreaM       edical Aid Set for Remote Area
                                                                                                                                                                                           /Provide Portable Medical Equipment to
                                                                                                                                                            Link                            Volunteer Clinic Teams
       Specific Career                                                                                                                                                                     /Promote the Benefit of Medical Care
             /Farmers                Typhoon Prevention

                                     Damage Reduction            Harvest Assistance            Farm Implements


                                                                 Crops Protection Strengthen Protection Cover

                                                                                                                             Apply

                                     Ancient Wisdom                                            Green Design

                                                                                               Combine with
                                                                                               New Technology
Takare
Medical Workstation
for Free Clinic in Remote Area




 Design Background
 Observation  Interview
 User Definition
 Product Definition
 D
  eveloping Sketches  Rough Models
 3D Renderings
 Final Result
Problems
                                                     When medical and volunteer clinic teams giving volunteer medical consultation in remote
                                                     areas, they might face the following difficulties:

                                                     1/ It is inconvenient to carry numbers of medical equipments when entering mountain areas.
                                                     2/ The existing products can not provide a complete and affective using space.




                                                     Motivation

                       Design Background             We are looking forward to design a medical workstation which could solve the problems
                                                     when giving volunteer medical consultation and try to achieve the following purposes:

                                                     1/ Provide portable medical equipments to volunteer clinic teams.
                                                     2/ Promote the benefit of medical care.


Subject
Medical Workstation for Free Clinic in Remote Area


Design Target
▲ Medical Care

	       1/ Provide more sufficient medical helps.
	       2/ Cement the relationship among medical
	          staffs, relatives and patients.


▲ Specific Situation

	       1/ Design for remote areas
	       2/ Improve equipments to respond to
	          special medical treatments
Taiwan Root Medical Peace Corps (TRMPC)
                                                          Taiwan Root Medical Peace Corps (TRMPC) is a private, non-sectarian,
                                                          non-profit organization dedicated to improving quality of life through
                                                          provision of medical services and health education. Founded in 1995, by
                                                          the vision of Dr. Chi-Chun Liu ( 劉啟群 ), TRMPC joined talented medical
                                                          personnel with enthusiastic volunteers to form a medical service group.

                                                          TRMPC sets up temporary medical service clinics in different mountain
                                                          areas of Taiwan every month. Doctors, dentists, and volunteers provide free
                                                          medical care as well as educational health material to the local population.
                                                          TRMPC works to improve the local communities’ current condition and
                                                          offers resources for developing self-reliant health care systems.

                                                          On international medical service trips, TRMPC extends medical services
                                                          to the most needy populations, conducts research on tropical diseases and
                                                          HIV/AIDS, and promotes community-based health education.



                                                          No. 258 Free Clinic in Miaoli, Taian
                                                          A two day trip on 22nd and 23rd, september, 2012. With TRMPC, we entered


Observation  Interview
                                                          mountain areas in Miaoli county, provided free medical service and did the
                                                          observation and interview.



                            2012 Free Clinic in Miaoli,
       with Taiwan Root Medical Peace Corps (TRMPC)
2012
  September 22




01:00             02:00                  03:00              04:00                    05:00              06:00               07:00              08:00                 09:00                 10:00              11:00              12:00



                                           Departure (to Miaoli)          Breakfast                                   Arrival (Tribe 1)                                                                                   Lunch
                                                                                                                      Parking and Unloading    Disinfection    Open the Clinic                                            Cleaning
                                                                                                                      Area Alloting                            Start the Treatment                                        Departure
                                                                                                                                                                                     Register
                                                                                                                                                                                     Basic Examination
                                                                                                                                                                                     Diagnose
                                                                                                                                                                                     Treating
                                                                                                                                                                                     Medicine Dosing

13:00             14:00                  15:00              16:00                    17:00              18:00               19:00              20:00                 21:00                 22:00              23:00              24:00



  Arrival (Tribe 2)                                                                    Cleaning                        Arrival (Tribe 3)                                                      Cleaning    Back to Camping Area
  Parking and Unloading   Disinfection     Open the Clinic                             Departure                       Parking and Unloading   Disinfection    Open the Clinic                Departure   Rest
  Area Alloting                            Start the Treatment                         Arrival (Camping Area)          Area Alloting                           Start the Treatment
                                                                 Register              Dinner                                                                                        Register
                                                                 Basic Examination                                                                                                   Basic Examination
                                                                 Diagnose                                                                                                            Diagnose
                                                                 Treating                                                                                                            Treating
                                                                 Medicine Dosing                                                                                                     Medicine Dosing




      2012
  September 23




06:00             07:00                  08:00              09:00                    10:00              11:00               12:00              13:00                 14:00
                                                                                                                                                                                                          No.258 Free Clinic
                     Breakfast
                     Departure
                                                     Arrival (Tribe 4)
                                                     Parking and Unloading
                                                     Area Alloting
                                                                                Disinfection    Open the Clinic
                                                                                                Start the Treatment
                                                                                                                               Cleaning
                                                                                                                               Back to Camping Area
                                                                                                                               Lunch
                                                                                                                                                              Cleaning
                                                                                                                                                              Departure (Back to Taipei)                  Schedule
                                                                                                                      Register
                                                                                                                      Basic Examination
                                                                                                                      Diagnose
                                                                                                                      Treating
                                                                                                                      Medicine Dosing
Day one, morning.                                             Tribe 1, Chunghsing   Tribe 3, Shihlin  Hsiangpi       Day one, evening.
A tribe of prefabricated houses.                                                                                      A tribe with a small community centre.
                                                              ( 中興 )                             ( 士林、象鼻 )
Dentist car:                                                                                                          Dentist car:
Park on the main road of the tribe, near the clinic and the                                                           Park on the roadside next to the community centre.
pharmacy.
                                                                                                                      Clinic:
Clinic:                                                                                                               Register area on the right side and diagnose area in the back of
An empty room in the prefabricated houses.                                                                            the community centre.

Pharmacy:                                                                                                             Pharmacy:
Another empty room in the houses, next to the clinic.                                                                 On the left side of the community centre.




Tribe 2, Tienkou ( 天狗 )                                                                           Tribe 4, Daan ( 大安 )
Day one, afternoon.                                                                               Day two, morning.
A small tribe with one main road through a circle road.                                           The biggest tribe in this trip, including a small church.

Dentist car:                                                                                      Dentist car:
Park on a small, open ground in the residential district.                                         Park on the end of the main road because of the slopy topography.

Clinic:                                                                                           Clinic:
In front of a house, opposite the dentist car .                                                   On the forecourt of the church, occupying most of the area.

Pharmacy:                                                                                         Pharmacy:
On the same open ground, next to the dentist car.                                                 On the forecourt of the church, too, but only the right part of it.
State of Play/How they do it?                                        Equipments/During Treatment
▲ Transportation  Moving                                            ▲ Register




                                                                           Anamneses                  Files                      Pens

                                                                     ▲ Basic Examination




                                                                             Scales               Sphygmomanometer          Forehead Thermometer
                                / Moving by wheels or hand-lifting
                                // Boxes and suitcases               ▲ Diagnose
                                /// Transporting by cars


▲ Storage



                                                                              Mask                Stethoscope             Flashlight          Tongue Depressor

                                                                     ▲ Treating
                                / Box in another box
                                // Messy inside
                                /// Overload



▲ Using

                                                                                  First-Aid Kit                 Syringe

                                                                     ▲ Medicine Dosing




                                / Messy working space
                                // Personal toolbox
                                /// Medicines in plastic bag

                                                                             Medicine               Mortar                Plastic Bags             Pens
Medicine List
 1. 抗生素 Antibiotic	                                8. 緩瀉劑治便秘 Laxative	                      15. 心血管用藥 Cardivascular 	                    20. 眼用 / Eye	
 Amocivillin			              250/500mg             Bisacodyl (Duclolax)		      5mg          Amoldipine (Norvasc)		       5mg             Gentamic Oph Sol		           Bot
 Augmentin			                625mg                 Sennoside	                               Atenolol (Tenormin)		        100mg           CM Oph Sol			                Bot
 Ckindamycin 			             150mg                                                          Propanolol (Inderal)		       10mg            Artec				                    Bot
 Doxycyclin 			              100mg                                                          Burinex	1mg                                  Tobra Dex	
 Baktar	 Erythromycin		      250mg                 9. 鎮咳怯痰藥                                 Transamin 			                250mg           Sinomin Oph Sol		            Bot
 Cephalexinl (Kelflex)		     500mg                                                          Renitec				                  20mg            Neostigmin Oph Sol		         Bot
 Cprofloxacin			             500mg                 Anti- cough and Phlegm	                  Nitroglycerin (NTG)		        4*25            Erythromycin Oph Oi		        Tube
                                                   Bromhexine (Bisolvon) 痰 	   12mg         Furosemide 			               40mg            Colsamin Oph Oint		          Tube
                                                   medicon-A	                               dilatrend			                 25mg            TC Oph Oint			               Tube
                                                   Ambroxol			                 30mg
 2. 抗黴菌 Antifungi/ 婦科用藥 	                          去咳寧				                     120ml 60 瓶
                                                                                            Adalat (Nifedipine)		        10mg            Vidisic 	
 Metronidazole (Flagyl)		    250mg                                                          Digoxin				                  0.25mg
                                                   Dec=xtromethorphan		        15/30mg      zestril				                  10mg
 Ketoconazol			              200mg                 Lysozyme	
 	                                                 Furofon 綜合感冒 	
                                                                                                                                         21. 外用 Ointment	
                                                                                            	                                            Povidone- Iodine Oint		      Tube
                                                   	
 3. 抗病毒 Antivirus	                                                                          16. 驅蟲藥 Anti- parasite 	                     Mentashin Oint			            G
                                                                                            Mebendazole (Vermox)		       10mg            Tricodex			                  Tube
 Amantafin (Solaxin)		       250mg                 10. 抗組織胺 Antihistamine	                                                               Neomycin Oint	
 Acyclovir			                400mg                 Chlorpheniramine (C.T.M)	   4mg          	                                            Clobetasol			                Tube
                                                   Loratidine Syr			           Bot 50 瓶
 	                                                 Cyproheptadine Syr		        Bot
                                                                                            17. 類固醇 Steroid          	                   Furax Oint			                Tube
                                                                                                                                         Rinderon-V	
 4. 骨骼肌鬆弛劑 Muscle relaxant	                        Periactin			                4mg          Prednisolone			              5mg
                                                                                                                                         Dexamethasone 口內膏 		         Tube
 Chlorzoxazone (Solaxin)		   250mg                                                          Eltroxin			                  100mcg ( 微克 )
                                                                                                                                         Berotec N metered aerosol	   G
 Baclofen			                 10mg                                                                                                        氧化鋅軟膏 (ZnO)	
 	                                                                                          	
                                                                                                                                         Depiles Oint ( 治瘡 )	
                                                   11. 支氣管擴張劑 Brochus extends	              18. 腸胃藥 Stomach and intestines	              Extracomb			                 Tube
 5. 解熱鎮痛抗發炎 NSAID	                                 Aminophylline			            100mg        Strocain	                                    Neo-Hemothol Oint		          Tube
 Mefenamic acid (Ponstan)	   250/500mg             Theophellin			              200mg        Tellwell	                                    Acyclovir			                 G
 Acetaminophen (Panadol)	    80/500mg                                                       Vioment	                                     Nitrofurazone Oint		         G
 Napoxen			                  250mg                 	                                        Bentyl				                   10mg            痠痛貼布	
                                                                                            Mgo				                      250mg
 Ibuprofen Susp			           Bot                   12. 鎮暈吐 Anti-Dizzy	                      Buscopan 	
                                                                                                                                         Scalphen			                  Tube
 Ibuprofen			                400mg                 Domperidone (Motilium)		    10mg                                                      Silver Sulfadiaxine		        G
 	                                                                                          Sulfasalazine			             500mg           Methacin			                  Tube
                                                   Winconin 	                               Gascon	
                                                   Cephadol 			                25mg                                                      Indomethacon			              Bot
                                                                                            Cimetidine			                400mg           凡士林				                      G
 6. 痛風藥 Gout Medicine	                                                                      Baluna (ALCO3)		             350mg           Libiton Nasal Sol		          Tube
 Bisacodyl (Duclolax)		      50mg                                                           Biofermin	
 Allopurinol			              100mg                 13. 降血糖 D.M	                                                                          	
 Colchicine (cocline)		      0.5mg (Allipurinol)   Metformin (Glucophage)		    500mg
                                                                                                                                         22. 栓劑 Bolt	
                                                   Resaglinide			              1mg          19. 營養補助劑 Vitamins	                          voren 				                   12.5mg
                                                   Glimepiriele			             2mg          B Complex	                                   Metronidazole (Flagyl)	
 7. 止瀉藥 Anti- diarrhoea 	                                                                   Hausmann Ferrum	                             Nystatin 	
 Loperamide (Imodium)		      2mg                   	                                        Folic avid			                5mg             Xylmol ( 喜癒痔 )	
 KBT	                                              14. 降血脂 Anti- Cholesterol 	              Calcium Carbonate	
                                                   Simvastatin			              20mg         Muti-viramin	                                	
                                                   Simatin 			                 10mg         Glicosamine			               250mg
                                                                                                                                         23. 末梢循環用藥 	
                                                                                            	                                            Trental (pentoxifylline)		   100mg
Interviews


                                                 Interview 1                                                                                          Interview 2
                                                     Doctor                                                                                           Pharmacist


                          Have experiences of joining                                                                                                 First time join
                          different kinds of free clinic                                                                                              the free clinic


▲ Which department is the most popular one in the free clinic?                                                ▲ In all the medicines, which kind of medicine has the bigger need?
Department of Family Medicine and the ear-nose-throat are both very popular. Dentist treatment is also        In general, we dose our patients the anti-inflammatory and the anodyne the most, but for children they
very important.                                                                                               usually need some medicines for cold. And for the dentist, their biggest need of medicine is the anodyne
                                                                                                              for the treatment.
▲ According to your experiences, which kind of treatment you do is
                                                                                                              ▲ Anything inconvenient?
common? Which is not?
People in remote area are usually faced the problem of occupational injury, such as muscle ache or            Storage and searching. We have to storage all medicines into the box rapidly so that we can move to next
cataract. As a result, we give them medicines which can sooth the pain very often. On the other hand,         tribe soon. For that reason we just throw everything into the box, that makes us hard to find specific
healing trauma is the least thing we do. Only when they get hurt by chance during the time the free clinic    medicine when we open the box again. If we have a box or something that helps us to storage and search
opened they will come to us for a treatment.                                                                  those drugs easier, clearer and faster, it will be good.


▲ Any other matter needing attention?
Different disease happened in different area is related to the sanitation. For example, Taiwan's sanitation
is better than Southeast Asia, than we do not have to worry about the disease like malaria too much.
General free clinic is different from those free clinic with special purpose. If the clinic is aimed at the
earthquake, or the tsunami, the equiptments and medicines we bring will be more specific.
Persona/ 1
                  Step 1, Register  Basic Examing




User Definition
                  Volunteer
                  ▲ 50 years old
                  ▲ likes to help people
                  ▲ participates in the free clinic for years



                  After arriving at the destination, she transports all examining stuffs from trucks and places them to
                  the arranged area with other volunteers. Then she settles down the equipments and help cleaning the
                  environment. After that she starts her work of register and identifies the patient by finding out his/
                  her case. She helps the patient taking basic examination, for example: blood pressure, temperature
                  and weight. Next, she passes the case of the patient to the doctor. When everything at the certain
                  area is finished, she packs all examining stuffs, make sure all cases are collected, helps clean up the
                  environment and put the packages in trucks.
Persona/2                                                                                                     Persona/3
Step 2, Diagnose  Treating                                                                                   Step 3, Medicine Dosing




Doctor                                                                                                        Pharmacist
▲ 58 years old                                                                                                ▲ 26 years old
▲ has passion in helping, and willing to provide medical care for those who really need                       ▲ willing to contributes herself to free clinic and provides professional services to patients
▲ contributes himself to free clinic and even joins the international projects



He joins the project and brings his personal diagnose equipments to the free clinic. When all                 She receives the prescription of the patient from the doctor and finds out the right medicine of the
equipments and tables are settled down, he stands by at his area and waits for the patient. After             prescription from storage boxes and then doses. If there is some medicine uncertain, she checks on
receiving the case from the volunteer, he calls patient's name to inform that it is his/her turn to receive   her personal professional book. Sometimes she grinds the medicine or provides syrup depends on
the treating. Then he diagnoses and writes down the situation of the patient. If it is needed, he will        the situation of patients. Then she dispenses medicine and writes down the information of taking
treat the patient. For instance, the patient gets hurt physically. Next, he writes out the prescription       medicine. Next, she informs the patient to get his/her own medicine. She tells the patient the things
and gives it to the volunteer and finally passes to the pharmacist. Then he just waits for the next           need attention when taking medicine and teaches him/her how to recognize different medicines. After
patient to come. When all the volunteer medical consultation is done, he packs all equipments and             that, she waits for the next prescription and doses again. When all the volunteer medical consultation
move to the next destination with the free clinic group.                                                      is done, she packs all dosing equipments and move to the next destination with the free clinic group.
Customer Journey   Process   Problem   Need
Product Definition
                                           Medical Workstation
                                           for Free Clinic in Remote Area
                     We focus on the volunteer clinic teams that may face the following
                     difficulties when giving volunteer medical consultation in remote areas:
                     1. It is inconvenient to carry numbers of medical equipments when
                     entering mountain areas.
                     2. The existing products can not provide a complete and affective using
                     space for user.

                     Combining the real needs and our aspect, we are looking forward to
                     design a medical aid set for remote area based on the process of medical
                     treatment and try to achieve two main purposes: one is to provide
                     portable medical equipments to the volunteer medical teams, another is
                     to bring modern medical resources into remote areas as much as possible.
Competetor                                                                               Design Guidelines
Problems                                                                                ▲ Easy to Carry
1/ awful storage                                                                         	       1/ An appropriate style for a long, difficult journey
2/ inconvenient to transport                                                             	       2/ Proper human factors engineering
3/ heavy                                                                                 	       3/ Light, durable material




                                                                                         ▲ Appropriate Storage
                                                                                         	      1/ Store all the goods and equipments you need completely
                                                                                         	      2/ Flexible/adjustable design




Needs
1/ Easy to Carry               2/ Appropriate Storage   3/ Efficient Operating Process   ▲ Efficient Operating Process
                                                                                         	        1/ Arrange the position of things based on situation, such as the treatment process.
Developing Sketches
    Rough Models
   Combining the real needs and our aspect. To design a
   medical workstation for free clinic in remote area based on
   the process of medical treatment.
設計報告 王昱心 許寗
設計報告 王昱心 許寗
(left) 1:1 Rough Model
(bottom) Scale Model
3D Renderings
▲ Sketch Map of Using
Final Result
               ▲ Two sets of medical workstations. Step 1 and 2 are in the
               same set and step 3 is in another one.
               ▲ They can be used during medical treatment separately
               and also be moved and transported as a set as if they are
               only one thing not two.
Design Detail

                Open the cover to create a       Step 1/ Register  Basic Examing
                working surface for user.

                Equip an i-Pad Mini to connect   User/ Volunteers
                all three workstations and
                intergrate the anamneses.




                Handles to make moving and
                transporting easier.




                                                 Inner Configuration

                Locks to make sure things will
                not be loosed while moving or
                transporting.




                Four-direction wheels let user
                easier to control the product.

                Brakes on the wheels can make
                the workstation stable when
                needed.
Step 2/ Diagnose  Treating   Step 3/ Medicine Dosing

User/ Doctors                  User/ Pharmacist




Inner Configuration            Inner Configuration
Using Process/From the start to the end
                                                          Compare the situations that free clinic will
                                                          face before and after using the product, we
                                                          can now know what are the problems we do
                                                          solve and the benefits we make clearly.




                                                                                                              ●   Confusing
BEFORE   ●   Unstable          ●   Inconvenient to move                             ●   Time-consuming        ●   Equipments are in a mess                                 ●   Time-consuming

         ●   Stable and Tidy   ●   Easy to move with wheels and handles             ●   Quick and Efficient   ●   Recognize by color and number                            ●   Quick and Efficient
NOW                                                                                                           ●   Equipments are in order and comform with using process
Thanks
for all the support and help.

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設計報告 王昱心 許寗

  • 1. DE RE GSI PO N RT Yu-Hsin Wang Ning Hsu
  • 2. Design for Real People Real Society Real World
  • 4. What Design for Real People ─ ? design based on the special need of each person Design for Real Society ─ design for a group of people who face similar difficulties Design for Real World ─ design for a specific situation that the whole world is involved Direction ▲ unnoticed needs ▲ research that focus on specific group is Since recent Designs are based on the market requirement, human’s real needs have been ignored. However, designer’s social responsibility is to provide solutions when “Design for people face difficulties and to make improvement in unwholesome situation. Instead of Real People, emphasizing the shape or adding worthless functions, a real helpful design product should truly care about disadvantaged minority and be useful to real people. Real Society, Real World ” Make a Better World.
  • 5. Design Thinking Process To Figure out Our Topic Design for Real People Observation 1 Interview 1 Observation 2 Interview 2 on Telephone Observation 3 Society Hospital Farmers and Agriculturist Hospital and Sickrooms Taiwan Root Medical Peace Corps Volunteer Clinic in Miaoli World (TRMPC) (with TRMPC) 31, July 07, August 14, August 21, August 04, September 11, September 18, September 25, September Disable People/The Elders /The Blinds /Physical Disables Hospital and Medical Care /for Patient /for Relatives Spirital Pain Soothing Hospice Care Exercise Equipments in Exercise Equipments in Sunshine Room Sunshine Room Equipment Improvement Redesigning of Folding Beds /for both Patient and Relatives /Increase the Use of the Space Redesigning of Basic Medical Equipments Dressing Cart Redesign Dressing Cart Redesign Medical Aid Set for Remote AreaM edical Aid Set for Remote Area /Provide Portable Medical Equipment to Link Volunteer Clinic Teams Specific Career /Promote the Benefit of Medical Care /Farmers Typhoon Prevention Damage Reduction Harvest Assistance Farm Implements Crops Protection Strengthen Protection Cover Apply Ancient Wisdom Green Design Combine with New Technology
  • 6. Takare Medical Workstation for Free Clinic in Remote Area Design Background Observation Interview User Definition Product Definition D eveloping Sketches Rough Models 3D Renderings Final Result
  • 7. Problems When medical and volunteer clinic teams giving volunteer medical consultation in remote areas, they might face the following difficulties: 1/ It is inconvenient to carry numbers of medical equipments when entering mountain areas. 2/ The existing products can not provide a complete and affective using space. Motivation Design Background We are looking forward to design a medical workstation which could solve the problems when giving volunteer medical consultation and try to achieve the following purposes: 1/ Provide portable medical equipments to volunteer clinic teams. 2/ Promote the benefit of medical care. Subject Medical Workstation for Free Clinic in Remote Area Design Target ▲ Medical Care 1/ Provide more sufficient medical helps. 2/ Cement the relationship among medical staffs, relatives and patients. ▲ Specific Situation 1/ Design for remote areas 2/ Improve equipments to respond to special medical treatments
  • 8. Taiwan Root Medical Peace Corps (TRMPC) Taiwan Root Medical Peace Corps (TRMPC) is a private, non-sectarian, non-profit organization dedicated to improving quality of life through provision of medical services and health education. Founded in 1995, by the vision of Dr. Chi-Chun Liu ( 劉啟群 ), TRMPC joined talented medical personnel with enthusiastic volunteers to form a medical service group. TRMPC sets up temporary medical service clinics in different mountain areas of Taiwan every month. Doctors, dentists, and volunteers provide free medical care as well as educational health material to the local population. TRMPC works to improve the local communities’ current condition and offers resources for developing self-reliant health care systems. On international medical service trips, TRMPC extends medical services to the most needy populations, conducts research on tropical diseases and HIV/AIDS, and promotes community-based health education. No. 258 Free Clinic in Miaoli, Taian A two day trip on 22nd and 23rd, september, 2012. With TRMPC, we entered Observation Interview mountain areas in Miaoli county, provided free medical service and did the observation and interview. 2012 Free Clinic in Miaoli, with Taiwan Root Medical Peace Corps (TRMPC)
  • 9. 2012 September 22 01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 09:00 10:00 11:00 12:00 Departure (to Miaoli) Breakfast Arrival (Tribe 1) Lunch Parking and Unloading Disinfection Open the Clinic Cleaning Area Alloting Start the Treatment Departure Register Basic Examination Diagnose Treating Medicine Dosing 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 24:00 Arrival (Tribe 2) Cleaning Arrival (Tribe 3) Cleaning Back to Camping Area Parking and Unloading Disinfection Open the Clinic Departure Parking and Unloading Disinfection Open the Clinic Departure Rest Area Alloting Start the Treatment Arrival (Camping Area) Area Alloting Start the Treatment Register Dinner Register Basic Examination Basic Examination Diagnose Diagnose Treating Treating Medicine Dosing Medicine Dosing 2012 September 23 06:00 07:00 08:00 09:00 10:00 11:00 12:00 13:00 14:00 No.258 Free Clinic Breakfast Departure Arrival (Tribe 4) Parking and Unloading Area Alloting Disinfection Open the Clinic Start the Treatment Cleaning Back to Camping Area Lunch Cleaning Departure (Back to Taipei) Schedule Register Basic Examination Diagnose Treating Medicine Dosing
  • 10. Day one, morning. Tribe 1, Chunghsing Tribe 3, Shihlin Hsiangpi Day one, evening. A tribe of prefabricated houses. A tribe with a small community centre. ( 中興 ) ( 士林、象鼻 ) Dentist car: Dentist car: Park on the main road of the tribe, near the clinic and the Park on the roadside next to the community centre. pharmacy. Clinic: Clinic: Register area on the right side and diagnose area in the back of An empty room in the prefabricated houses. the community centre. Pharmacy: Pharmacy: Another empty room in the houses, next to the clinic. On the left side of the community centre. Tribe 2, Tienkou ( 天狗 ) Tribe 4, Daan ( 大安 ) Day one, afternoon. Day two, morning. A small tribe with one main road through a circle road. The biggest tribe in this trip, including a small church. Dentist car: Dentist car: Park on a small, open ground in the residential district. Park on the end of the main road because of the slopy topography. Clinic: Clinic: In front of a house, opposite the dentist car . On the forecourt of the church, occupying most of the area. Pharmacy: Pharmacy: On the same open ground, next to the dentist car. On the forecourt of the church, too, but only the right part of it.
  • 11. State of Play/How they do it? Equipments/During Treatment ▲ Transportation Moving ▲ Register Anamneses Files Pens ▲ Basic Examination Scales Sphygmomanometer Forehead Thermometer / Moving by wheels or hand-lifting // Boxes and suitcases ▲ Diagnose /// Transporting by cars ▲ Storage Mask Stethoscope Flashlight Tongue Depressor ▲ Treating / Box in another box // Messy inside /// Overload ▲ Using First-Aid Kit Syringe ▲ Medicine Dosing / Messy working space // Personal toolbox /// Medicines in plastic bag Medicine Mortar Plastic Bags Pens
  • 12. Medicine List 1. 抗生素 Antibiotic 8. 緩瀉劑治便秘 Laxative 15. 心血管用藥 Cardivascular 20. 眼用 / Eye Amocivillin 250/500mg Bisacodyl (Duclolax) 5mg Amoldipine (Norvasc) 5mg Gentamic Oph Sol Bot Augmentin 625mg Sennoside Atenolol (Tenormin) 100mg CM Oph Sol Bot Ckindamycin 150mg Propanolol (Inderal) 10mg Artec Bot Doxycyclin 100mg Burinex 1mg Tobra Dex Baktar Erythromycin 250mg 9. 鎮咳怯痰藥 Transamin 250mg Sinomin Oph Sol Bot Cephalexinl (Kelflex) 500mg Renitec 20mg Neostigmin Oph Sol Bot Cprofloxacin 500mg Anti- cough and Phlegm Nitroglycerin (NTG) 4*25 Erythromycin Oph Oi Tube Bromhexine (Bisolvon) 痰 12mg Furosemide 40mg Colsamin Oph Oint Tube medicon-A dilatrend 25mg TC Oph Oint Tube Ambroxol 30mg 2. 抗黴菌 Antifungi/ 婦科用藥 去咳寧 120ml 60 瓶 Adalat (Nifedipine) 10mg Vidisic Metronidazole (Flagyl) 250mg Digoxin 0.25mg Dec=xtromethorphan 15/30mg zestril 10mg Ketoconazol 200mg Lysozyme Furofon 綜合感冒 21. 外用 Ointment Povidone- Iodine Oint Tube 3. 抗病毒 Antivirus 16. 驅蟲藥 Anti- parasite Mentashin Oint G Mebendazole (Vermox) 10mg Tricodex Tube Amantafin (Solaxin) 250mg 10. 抗組織胺 Antihistamine Neomycin Oint Acyclovir 400mg Chlorpheniramine (C.T.M) 4mg Clobetasol Tube Loratidine Syr Bot 50 瓶 Cyproheptadine Syr Bot 17. 類固醇 Steroid Furax Oint Tube Rinderon-V 4. 骨骼肌鬆弛劑 Muscle relaxant Periactin 4mg Prednisolone 5mg Dexamethasone 口內膏 Tube Chlorzoxazone (Solaxin) 250mg Eltroxin 100mcg ( 微克 ) Berotec N metered aerosol G Baclofen 10mg 氧化鋅軟膏 (ZnO) Depiles Oint ( 治瘡 ) 11. 支氣管擴張劑 Brochus extends 18. 腸胃藥 Stomach and intestines Extracomb Tube 5. 解熱鎮痛抗發炎 NSAID Aminophylline 100mg Strocain Neo-Hemothol Oint Tube Mefenamic acid (Ponstan) 250/500mg Theophellin 200mg Tellwell Acyclovir G Acetaminophen (Panadol) 80/500mg Vioment Nitrofurazone Oint G Napoxen 250mg Bentyl 10mg 痠痛貼布 Mgo 250mg Ibuprofen Susp Bot 12. 鎮暈吐 Anti-Dizzy Buscopan Scalphen Tube Ibuprofen 400mg Domperidone (Motilium) 10mg Silver Sulfadiaxine G Sulfasalazine 500mg Methacin Tube Winconin Gascon Cephadol 25mg Indomethacon Bot Cimetidine 400mg 凡士林 G 6. 痛風藥 Gout Medicine Baluna (ALCO3) 350mg Libiton Nasal Sol Tube Bisacodyl (Duclolax) 50mg Biofermin Allopurinol 100mg 13. 降血糖 D.M Colchicine (cocline) 0.5mg (Allipurinol) Metformin (Glucophage) 500mg 22. 栓劑 Bolt Resaglinide 1mg 19. 營養補助劑 Vitamins voren 12.5mg Glimepiriele 2mg B Complex Metronidazole (Flagyl) 7. 止瀉藥 Anti- diarrhoea Hausmann Ferrum Nystatin Loperamide (Imodium) 2mg Folic avid 5mg Xylmol ( 喜癒痔 ) KBT 14. 降血脂 Anti- Cholesterol Calcium Carbonate Simvastatin 20mg Muti-viramin Simatin 10mg Glicosamine 250mg 23. 末梢循環用藥 Trental (pentoxifylline) 100mg
  • 13. Interviews Interview 1 Interview 2 Doctor Pharmacist Have experiences of joining First time join different kinds of free clinic the free clinic ▲ Which department is the most popular one in the free clinic? ▲ In all the medicines, which kind of medicine has the bigger need? Department of Family Medicine and the ear-nose-throat are both very popular. Dentist treatment is also In general, we dose our patients the anti-inflammatory and the anodyne the most, but for children they very important. usually need some medicines for cold. And for the dentist, their biggest need of medicine is the anodyne for the treatment. ▲ According to your experiences, which kind of treatment you do is ▲ Anything inconvenient? common? Which is not? People in remote area are usually faced the problem of occupational injury, such as muscle ache or Storage and searching. We have to storage all medicines into the box rapidly so that we can move to next cataract. As a result, we give them medicines which can sooth the pain very often. On the other hand, tribe soon. For that reason we just throw everything into the box, that makes us hard to find specific healing trauma is the least thing we do. Only when they get hurt by chance during the time the free clinic medicine when we open the box again. If we have a box or something that helps us to storage and search opened they will come to us for a treatment. those drugs easier, clearer and faster, it will be good. ▲ Any other matter needing attention? Different disease happened in different area is related to the sanitation. For example, Taiwan's sanitation is better than Southeast Asia, than we do not have to worry about the disease like malaria too much. General free clinic is different from those free clinic with special purpose. If the clinic is aimed at the earthquake, or the tsunami, the equiptments and medicines we bring will be more specific.
  • 14. Persona/ 1 Step 1, Register Basic Examing User Definition Volunteer ▲ 50 years old ▲ likes to help people ▲ participates in the free clinic for years After arriving at the destination, she transports all examining stuffs from trucks and places them to the arranged area with other volunteers. Then she settles down the equipments and help cleaning the environment. After that she starts her work of register and identifies the patient by finding out his/ her case. She helps the patient taking basic examination, for example: blood pressure, temperature and weight. Next, she passes the case of the patient to the doctor. When everything at the certain area is finished, she packs all examining stuffs, make sure all cases are collected, helps clean up the environment and put the packages in trucks.
  • 15. Persona/2 Persona/3 Step 2, Diagnose Treating Step 3, Medicine Dosing Doctor Pharmacist ▲ 58 years old ▲ 26 years old ▲ has passion in helping, and willing to provide medical care for those who really need ▲ willing to contributes herself to free clinic and provides professional services to patients ▲ contributes himself to free clinic and even joins the international projects He joins the project and brings his personal diagnose equipments to the free clinic. When all She receives the prescription of the patient from the doctor and finds out the right medicine of the equipments and tables are settled down, he stands by at his area and waits for the patient. After prescription from storage boxes and then doses. If there is some medicine uncertain, she checks on receiving the case from the volunteer, he calls patient's name to inform that it is his/her turn to receive her personal professional book. Sometimes she grinds the medicine or provides syrup depends on the treating. Then he diagnoses and writes down the situation of the patient. If it is needed, he will the situation of patients. Then she dispenses medicine and writes down the information of taking treat the patient. For instance, the patient gets hurt physically. Next, he writes out the prescription medicine. Next, she informs the patient to get his/her own medicine. She tells the patient the things and gives it to the volunteer and finally passes to the pharmacist. Then he just waits for the next need attention when taking medicine and teaches him/her how to recognize different medicines. After patient to come. When all the volunteer medical consultation is done, he packs all equipments and that, she waits for the next prescription and doses again. When all the volunteer medical consultation move to the next destination with the free clinic group. is done, she packs all dosing equipments and move to the next destination with the free clinic group.
  • 16. Customer Journey Process Problem Need
  • 17. Product Definition Medical Workstation for Free Clinic in Remote Area We focus on the volunteer clinic teams that may face the following difficulties when giving volunteer medical consultation in remote areas: 1. It is inconvenient to carry numbers of medical equipments when entering mountain areas. 2. The existing products can not provide a complete and affective using space for user. Combining the real needs and our aspect, we are looking forward to design a medical aid set for remote area based on the process of medical treatment and try to achieve two main purposes: one is to provide portable medical equipments to the volunteer medical teams, another is to bring modern medical resources into remote areas as much as possible.
  • 18. Competetor Design Guidelines Problems ▲ Easy to Carry 1/ awful storage 1/ An appropriate style for a long, difficult journey 2/ inconvenient to transport 2/ Proper human factors engineering 3/ heavy 3/ Light, durable material ▲ Appropriate Storage 1/ Store all the goods and equipments you need completely 2/ Flexible/adjustable design Needs 1/ Easy to Carry 2/ Appropriate Storage 3/ Efficient Operating Process ▲ Efficient Operating Process 1/ Arrange the position of things based on situation, such as the treatment process.
  • 19. Developing Sketches Rough Models Combining the real needs and our aspect. To design a medical workstation for free clinic in remote area based on the process of medical treatment.
  • 22. (left) 1:1 Rough Model (bottom) Scale Model
  • 24. ▲ Sketch Map of Using
  • 25. Final Result ▲ Two sets of medical workstations. Step 1 and 2 are in the same set and step 3 is in another one. ▲ They can be used during medical treatment separately and also be moved and transported as a set as if they are only one thing not two.
  • 26. Design Detail Open the cover to create a Step 1/ Register Basic Examing working surface for user. Equip an i-Pad Mini to connect User/ Volunteers all three workstations and intergrate the anamneses. Handles to make moving and transporting easier. Inner Configuration Locks to make sure things will not be loosed while moving or transporting. Four-direction wheels let user easier to control the product. Brakes on the wheels can make the workstation stable when needed.
  • 27. Step 2/ Diagnose Treating Step 3/ Medicine Dosing User/ Doctors User/ Pharmacist Inner Configuration Inner Configuration
  • 28. Using Process/From the start to the end Compare the situations that free clinic will face before and after using the product, we can now know what are the problems we do solve and the benefits we make clearly. ● Confusing BEFORE ● Unstable ● Inconvenient to move ● Time-consuming ● Equipments are in a mess ● Time-consuming ● Stable and Tidy ● Easy to move with wheels and handles ● Quick and Efficient ● Recognize by color and number ● Quick and Efficient NOW ● Equipments are in order and comform with using process
  • 29. Thanks for all the support and help.